Concomitant laparoscopic cholecystectomy and antegrade wire, rendezvous cannulation of the biliary tree may reduce post-ERCP pancreatitis events
ConclusionAWRC is a useful technique for safe and efficient bile duct cannulation for therapeutic ERCP in the setting of choledocholithiasis at the time of CCY. Despite supine (rather than the traditional prone) positioning, total ERCP times were short and we eliminated any manipulation of the pancreatic duct. No patients in our series developed PEP or post-sphincterotomy bleeding. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - June 3, 2020 Category: Surgery Source Type: research
Su1576 DIGITAL CHOLANGIOSCOPY FOR DETECTION OF MISSED STONES IN THE BILE DUCTS AFTER ENDOSCOPIC THERAPY- A SIGNLE CENTER STUDY
Occlusion cholangiogram is always performed after conventional endoscopic stone extraction to confirm ductal clearance. Retained stones can be easily missed fluoroscopically and they can be a reason for recurrent biliary symptoms, acute cholangitis, pancreatitis or stone recurrence in the future. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 31, 2020 Category: Gastroenterology Authors: Petko Karagyozov, Ivan Tishkov, Irina Boeva Tags: Poster abstracts Source Type: research
Fifteen-Year Single-Center Experience of Biliary Complications in Liver Trauma Patients: Changes in the Management of Posttraumatic Bile Leak
Conclusion Placement of IPD alone, as first-line treatment, is safe and effective in the management of intraperitoneal bile leaks, avoiding the costs and potential complications of ERCP. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text (Source: European Journal of Pediatric Surgery)
Source: European Journal of Pediatric Surgery - May 17, 2020 Category: Surgery Authors: Stonelake, Stephen Ali, Sana Pinkey, Benjamin Ong, Evelyn Anbarasan, Ravindar McGuirk, Simon Perera, Thamera Mirza, Darius Muiesan, Paolo Sharif, Khalid Tags: Original Article Source Type: research
Is 3D faster and safer than 4K laparoscopic cholecystectomy? A randomised-controlled trial
ConclusionsA 3D HD laparoscopic system did not reduce operative time or error scores during laparoscopic cholecystectomy compared with a new 4K imaging system. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - March 24, 2020 Category: Surgery Source Type: research
Interobserver Agreement for Classifying Post-liver Transplant Biliary Strictures in Donation After Circulatory Death Donors
We examined the interobserver agreement for each of the three classifications.MethodsDCD LT recipients from 2012 through March 2017 undergoing ERCP for biliary strictures were included in the study. Initial cholangiograms delineating the entire biliary tree prior to endoscopic intervention were selected. One representative cholangiogram was selected from each ERCP. Five interventional endoscopists independently viewed each anonymized cholangiogram and classified the post-LT stricture according to each of the three classification systems. The Ling classification proposes four types of post-LT strictures based on their locat...
Source: Digestive Diseases and Sciences - March 2, 2020 Category: Gastroenterology Source Type: research
Laparoscopic cholecystectomy in acute mild gallstone pancreatitis: how early is safe?
AbstractThe surgical strategy to resolve the underlying biliary pathology in patients with acute gallstone pancreatitis (AGP) remains controversial. The aim of this study was to evaluate the safety and effectiveness of early laparoscopic cholecystectomy (ELC) in patients with mild AGP. A retrospective cohort of consecutive patients diagnosed with mild AGP according to the Atlanta Guidelines from January 2009 to July 2019 was selected. Patients were assigned to surgery on the first available surgical shift, 48 h after the symptoms onset. Univariate analysis was performed to determine the association between AGP and grades...
Source: Updates in Surgery - February 2, 2020 Category: Surgery Source Type: research
Dieulafoy lesion of the gallbladder: a rare cause of hemobilia and acute pancreatitis – case report
ConclusionHemobilia should be considered as a cause of upper GI bleeding and acute pancreatitis, especially if both are concurrent. Treatment is directed to the cause, with bleeding control and restoration of bile flow, which can be accomplished by a single minimally invasive surgery. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - December 18, 2019 Category: Surgery Source Type: research
Duplicate Gallbladder: A Case Report of a Patient with Cholecystitis after Cholecystectomy
ConclusionDuplicate gallbladder poses a risk for the unique presentation of recurrent cholecystitis despite cholecystectomy. Advanced imaging techniques that demonstrate biliary anatomy can identify duplicate gallbladder perioperatively. For those presenting with disease in any one gallbladder, resection of both is ideal to prevent recurrence of disease. (Source: International Journal of Surgery Case Reports)
Source: International Journal of Surgery Case Reports - November 4, 2019 Category: Surgery Source Type: research
Utilization of a Modified Roux-en-Y Anastomosis as an Access point for Percutaneous Transjejunal Cholangioplasty of Recurrent Biliary Strictures
ConclusionThe HRP was an effective access point in the management of recurrent benign biliary strictures in this cohort. (Source: CardioVascular and Interventional Radiology)
Source: CardioVascular and Interventional Radiology - November 1, 2019 Category: Radiology Source Type: research
Acute myeloid leukaemia presenting as acute liver failure-a case report and literature review.
Authors: Sun K, Reynolds RJ, Sheu TG, Tomsula JA, Colton L, Rice L
Abstract
A 75-year-old woman presented with rapidly progressive fatigue, abdominal pain and jaundice. Physical examination revealed tender abdomen and splenomegaly. Magnetic resonance cholangiogram showed marked hepatomegaly, splenomegaly and scattered nodules or masses in the liver and spleen. The patient expired from multiorgan failure. Autopsy revealed infiltration of the liver, spleen and bone marrow by acute myeloid leukaemia.
PMID: 31645888 [PubMed] (Source: Ecancermedicalscience)
Source: Ecancermedicalscience - October 26, 2019 Category: Cancer & Oncology Tags: Ecancermedicalscience Source Type: research
Outcome of portosystemic shunt surgery on pre ‐existing cholangiopathy in children with extrahepatic portal venous obstruction
ConclusionNon ‐selective PSS decompresses esophago‐gastro‐splenic venous circuit effectively but fails to ameliorate cholangiopathy and peribiliary collaterals. Peristence of cholangiopathy is attributable to SMV block. (Source: Journal of Hepato-Biliary-Pancreatic Sciences)
Source: Journal of Hepato-Biliary-Pancreatic Sciences - October 24, 2019 Category: Gastroenterology Authors: Aathira Ravindranath,
Moinak Sen Sarma,
Surender Kumar Yachha,
Richa Lal,
Somesh Singh,
Anshu Srivastava,
Ujjal Poddar,
Zafar Neyaz,
Anu Behari Tags: ORIGINAL ARTICLE Source Type: research
Reply
We described in a prospective study the use of large scale parallel genetic testing, exploiting the diagnostic potential of next generation sequencing (NGS) in neonatal and infantile cholestasis. The major and earliest crossroad was the stool color assessment. Sciveres et al commented on the use of liver biopsy and intraoperative cholangiogram to diagnose biliary atresia in patients with acholic stools. (Source: The Journal of Pediatrics)
Source: The Journal of Pediatrics - October 21, 2019 Category: Pediatrics Authors: Emanuele Nicastro, Lorenzo D ’Antiga Tags: Letters to the Editor Source Type: research
Tc-99m PMT scintigraphy in the diagnosis of pediatric biliary atresia
Conclusions99mTc-PMT scintigraphy is more accurate in the diagnosis of BA than other conventional examinations. In addition, false positives of99mTc-PMT scintigraphy could be reduced by combining γ-GTP level monitoring. (Source: Japanese Journal of Radiology)
Source: Japanese Journal of Radiology - September 29, 2019 Category: Radiology Source Type: research
Laparoscopic Training Opportunities in an Emergency Biliary Service.
Conclusions: Surgical training is possible in a singlesession biliary emergency service without significantly impacting theatre utilization times or early patient outcomes. Further dedicated studies will allow individual learning curves to be determined.
PMID: 31488943 [PubMed - in process] (Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons)
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - September 8, 2019 Category: Surgery Tags: JSLS Source Type: research
Non Syndromic Paucity of Interlobular Bile Ducts in Children - A Clinicopathological Study.
Conclusion: Histopathology differentiated NS-PILBD from other causes of infantile cholestasis .The idiopathic form generally had a favorable long term outcome with medical management.
PMID: 31437071 [PubMed - as supplied by publisher] (Source: Fetal and Pediatric Pathology)
Source: Fetal and Pediatric Pathology - August 23, 2019 Category: Pathology Tags: Fetal Pediatr Pathol Source Type: research
